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SAN JOAQUIN COUNTY UNIF,,,) PROGRAM AGENCY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E.WEBER AVENUE <br /> STOCKTON,CA 95202 FLtAL 1 H <br /> 03 SEP I I PM I: 54 <br /> CERTIFICATION OF RETURN TO COMPLIANCE <br /> For Hazardous Waste Generators <br /> In the matter of the Violation cited on: 9 43 <br /> As Identified in the Inspection Report dated: <br /> Conducted by: [EHD Inspector(s)] <br /> I certify under penalty of law that: <br /> I. Respondent has corrected the violations specified in the notice of <br /> violation cited above. <br /> 2. 1 have personally examined any documentation attached to the <br /> certification to establish that the violations have been corrected. <br /> 3. Based on my examination of the attached documentation and <br /> inquiry of the individuals who prepared or obtained it, I believe that <br /> the information is true, accurate, and complete. <br /> 4. 1 am authorized to file this certification on behalf of the Respondent. <br /> 5. 1 am aware that there are significant penalties for submitting false <br /> information, including the possibility of fine and imprisonment for <br /> knowing violations. <br /> S3 �/ S %,L tPt6S <br /> CAL 00 J,9 3/6' i <br /> Facility Address EPA ID. Number <br /> Name(Print or Type) <br /> � Title <br /> Sig ature Date Signed <br /> EHDCERT(rev 1107/02) <br />